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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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The SSRC Library collection is constantly growing and new research is added regularly. We welcome our users to submit a library item to help us grow our collection in response to your needs.


  • Individual Author: Germain, Justin
    Reference Type: Report
    Year: 2018

    This report identifies the state of current research on the prevalence of opioid use disorder and treatment services among Temporary Assistance for Needy Families (TANF) participants and the TANF-eligible population. Additional emphasis is provided on how opioid use disorder negatively affects work-readiness and employment attainment. Funded by the U.S. Department of Health and Human Services’ Administration for Children and Families, this project aims to improve economic well-being and increase TANF agencies’ knowledge base. This report is based on a literature review of opioid use disorder treatment strategies and information on the effects of opioids in the TANF, TANF-eligible, and low-income populations.

    Opioid use disorder in the United States has skyrocketed since 2010. Opioids contributed to 42,249 American overdose deaths in 2016, and this rate continues to swell. Little contemporary research has been conducted on the effects of this surge on the TANF population. Existing research about the opioid crisis primarily focuses on its effects on the general population,...

    This report identifies the state of current research on the prevalence of opioid use disorder and treatment services among Temporary Assistance for Needy Families (TANF) participants and the TANF-eligible population. Additional emphasis is provided on how opioid use disorder negatively affects work-readiness and employment attainment. Funded by the U.S. Department of Health and Human Services’ Administration for Children and Families, this project aims to improve economic well-being and increase TANF agencies’ knowledge base. This report is based on a literature review of opioid use disorder treatment strategies and information on the effects of opioids in the TANF, TANF-eligible, and low-income populations.

    Opioid use disorder in the United States has skyrocketed since 2010. Opioids contributed to 42,249 American overdose deaths in 2016, and this rate continues to swell. Little contemporary research has been conducted on the effects of this surge on the TANF population. Existing research about the opioid crisis primarily focuses on its effects on the general population, while TANF-centered studies almost exclusively examine general substance use disorder. Available research suggests that opioid and substance use disorders are significant barriers to employment for low-income individuals. Treatment and prevention strategies that consider substance use disorders as one of many social, economic, and psychological barriers to employability tend to be more effective in promoting recovery and integration within the labor market. (Edited author introduction)

     

  • Individual Author: Camargo Plazas, Pilar ; Cameron, Brenda L.; Milford, Krista ; Hunt, Lindsay Ruth ; Bourque-Bearskin, Lisa ; Santos Salas, Anna
    Year: 2018

    In Canada, Indigenous peoples bear a greater burden of illness and suffer disproportionate health disparities compared to non-Indigenous people. Difficult access to healthcare services has contributed to this gap. In this article, we present findings from a dissemination grant aimed to engage Indigenous youth in popular theatre to explore inequities in access to health services for Indigenous people in a Western province in Canada. Following an Indigenous and action research approach, we undertook popular theatre as a means to disseminate our research findings. Popular theatre allows audience members to engage with a scene relevant to their own personal situation and to intervene during the performance to create multiple ways of critically understanding and reacting to a difficult situation. Using popular theatre was successful in generating discussion and engaging the community and healthcare professionals to discuss next steps to increasing access to healthcare services. Popular theatre and short dramas provide a venue for mirroring stigmatized care and expose racial biases in...

    In Canada, Indigenous peoples bear a greater burden of illness and suffer disproportionate health disparities compared to non-Indigenous people. Difficult access to healthcare services has contributed to this gap. In this article, we present findings from a dissemination grant aimed to engage Indigenous youth in popular theatre to explore inequities in access to health services for Indigenous people in a Western province in Canada. Following an Indigenous and action research approach, we undertook popular theatre as a means to disseminate our research findings. Popular theatre allows audience members to engage with a scene relevant to their own personal situation and to intervene during the performance to create multiple ways of critically understanding and reacting to a difficult situation. Using popular theatre was successful in generating discussion and engaging the community and healthcare professionals to discuss next steps to increasing access to healthcare services. Popular theatre and short dramas provide a venue for mirroring stigmatized care and expose racial biases in the delivery of care. The contributions of the students, their input, and their acting were to increase our awareness even more of the pervasiveness of the stigmatized care that Indigenous people experience. (Author abstract)

  • Individual Author: Sherman, Erin ; Secrist, Amy; Gidwani, Suman; Storey, Douglas; Leifer, Jess
    Reference Type: Conference Paper
    Year: 2018

    Motivation: Baltimore City experiences one of the highest infant mortality rates in the country. Although a large percentage of pregnant women in Baltimore are Medicaid recipients, they often do not take-up pregnancy and postpartum support services that are available with an appropriate referral. Particularly for high-risk pregnancies, this can lead to adverse birth outcomes. To begin accessing these services, Medicaid-eligible patients must have a prenatal risk assessment (PRA) form filled out by their provider. Without this form, women with high risk pregnancies may not be referred to services such as insurance assistance, WIC, home visits by social workers, and smoking cessation assistance. Intervention: In collaboration with the Baltimore City Health Department (BCHD), the Johns Hopkins University Center for Communication Programs (CCP) and other partners in the B’more for Healthy Babies (BHB) initiative, a package of behavioral interventions was randomized across prenatal care practices in Baltimore. The set of interventions included the...

    Motivation: Baltimore City experiences one of the highest infant mortality rates in the country. Although a large percentage of pregnant women in Baltimore are Medicaid recipients, they often do not take-up pregnancy and postpartum support services that are available with an appropriate referral. Particularly for high-risk pregnancies, this can lead to adverse birth outcomes. To begin accessing these services, Medicaid-eligible patients must have a prenatal risk assessment (PRA) form filled out by their provider. Without this form, women with high risk pregnancies may not be referred to services such as insurance assistance, WIC, home visits by social workers, and smoking cessation assistance. Intervention: In collaboration with the Baltimore City Health Department (BCHD), the Johns Hopkins University Center for Communication Programs (CCP) and other partners in the B’more for Healthy Babies (BHB) initiative, a package of behavioral interventions was randomized across prenatal care practices in Baltimore. The set of interventions included the following components: 

    • Checklist: The PRA Checklist includes execution notes for the 3 steps required to successfully complete a PRA: talking points for speaking to a patient about the PRA, steps and specific filling number for the PRA, and fax number for faxing the PRA.
    • Feedback: Three quarterly feedback reports were used to compare how many PRAs an office completed in comparison to offices like it. They provided a visual image (smiley face or exclamation point) to indicate whether the office was doing better or worse than its peers. Additionally, practices who had not submitted any PRAs in the previous year received a report indicating that they need to submit PRAs to appropriately serve their patients.
    • Testimonials: Patient testimonials included quotes from mothers who had benefitted from services referred through the PRA. They highlighted stories of mothers and babies with positive health outcomes as a result of services like home visiting and cribs. Testimonials will be sent to all treatment offices via email at intervals of 1-2 months.
    • Information: A website was developed which provides a quiz that allows clinics to see how many of the standard PRA procedures they are/are not following. The website also has a list of behaviorally informed best practices that we developed based on site visits and advice from BHB/BCHD.

    Methodology: Data collection will occur between March-September 2018 with the primary outcome being the number of PRAs submitted by each practice. Cluster randomization is used to identify effects in 25 control clinics compared to 27 treatment clinics throughout the city. Results: The results, available by September 2018, will show whether this combination of peer comparison and informational interventions can impact providers’ PRA submission rates, referral rates to prenatal and postpartum support services, and the rate of accepted services by Medicaid-eligible women. Conclusion: The results of this experiment will determine whether social and informational efforts impact PRA take-up and increase support-service access for pregnant Medicaid-eligible women in Baltimore. (Author abstract)

  • Individual Author: Ross, Lori E.; Gibson, Margaret F.; Daley, Andrea; Steele, Leah S.; Williams, Charmaine C.
    Reference Type: Journal Article
    Year: 2018

    Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, of whom 12 LGBTQ individuals living in poverty participated in interviews. Low income LGBTQ respondents saw more mental health professionals and had more unmet need for care than all other LGBTQ/income groups. Narrative analysis illustrated the work required to take care of oneself in the context of extreme financial constraints. These findings highlight the mechanisms through which inadequate public sector mental health services can serve to reproduce and sustain both poverty and health inequities. (Author abstract)

    Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, of whom 12 LGBTQ individuals living in poverty participated in interviews. Low income LGBTQ respondents saw more mental health professionals and had more unmet need for care than all other LGBTQ/income groups. Narrative analysis illustrated the work required to take care of oneself in the context of extreme financial constraints. These findings highlight the mechanisms through which inadequate public sector mental health services can serve to reproduce and sustain both poverty and health inequities. (Author abstract)

  • Individual Author: Eismann, Emily A.; Theuerling, Jack; Maguire, Sabine; Hente, Elizabeth A.; Shapiro, Robert A.
    Reference Type: Journal Article
    Year: 2018

    This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pediatric practice, federally qualified health center, and family medicine practice. The SEEK model includes screening caregivers for psychosocial risk factors at well-child visits age 0 to 5 years, brief intervention incorporating principles of motivational interviewing to engage caregivers, and referral to treatment. All practices successfully implemented SEEK, with screening completion rates from 75% to 93% and brief intervention rates from 61% to 81%. Major parental stress (14%) and food insecurity (11%) were the most common risk factors. Providers found SEEK worthwhile for improving their knowledge, skills, and ability to address psychosocial concerns and provide whole person care. Barriers included limited time and resources, incomplete resource knowledge, and lack of follow-up. Facilitators included on-site support staff to...

    This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pediatric practice, federally qualified health center, and family medicine practice. The SEEK model includes screening caregivers for psychosocial risk factors at well-child visits age 0 to 5 years, brief intervention incorporating principles of motivational interviewing to engage caregivers, and referral to treatment. All practices successfully implemented SEEK, with screening completion rates from 75% to 93% and brief intervention rates from 61% to 81%. Major parental stress (14%) and food insecurity (11%) were the most common risk factors. Providers found SEEK worthwhile for improving their knowledge, skills, and ability to address psychosocial concerns and provide whole person care. Barriers included limited time and resources, incomplete resource knowledge, and lack of follow-up. Facilitators included on-site support staff to assist with communication and referrals. (Author abstract)

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